Individual provider Active NPI

Olufunsho Bankole, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Cumming, GA
National Provider Identifier
1487714911
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME159646 Issued in FL
Practice address
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone
(770) 844-3200
Fax
(770) 844-3655
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 058391 GA
Pulmonary Disease Physician 207RP1001X 058391 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME159646 FL Primary

Addresses

Primary practice location

1200 Northside Forsyth Dr
Cumming, GA 30041-7659

Mailing address

2900 Pharr Court South NW
Suite 2103
Atlanta, GA 30305-4976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070213000513 GA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2668474164 Reassigns benefits to 10 organizations
I20230405001237 FL Practitioner - Critical Care (Intensivists) 2668474164 Reassigns benefits to 2 organizations
I20230918001670 MO Practitioner - Critical Care (Intensivists) 2668474164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group Inc 1,735 clinicians
Piedmont Specialty Hospital Billing LLC 252 clinicians
Skaggs Community Hospital Association 222 clinicians
Columbus Ambulatory Healthcare Services, Inc. 157 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

525 Branson Landing Blvd
Branson, MO 65616-2052

525 Branson Landing Blvd
Suite 508
Branson, MO 65616-2131
Phone (417) 335-7540

550 Peachtree St NE
Suite 1285
Atlanta, GA 30308-2249
Phone (404) 856-3213

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454

Hospital & facility affiliations

  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME159646FLMDCritical Care Medicine (Internal Medicine) Physician
058391GAMDPulmonary Disease Physician

Practice roles (19 of 21)

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince May 1, 2018 Accepting new patients
Universal Lung Associates CurrentSince May 1, 2011 Accepting new patients
Skaggs Community Hospital Association Pulmonary Disease CurrentSince Oct 6, 2023 Accepting new patients
Piedmont Specialty Hospital Billing LLC Internal Medicine CurrentSince Apr 4, 2024 Accepting new patients
Nuview Telehealth, LLC Internal Medicine CurrentSince Apr 9, 2023 Accepting new patients
Nuview Health Indiana PC Critical Care Medicine CurrentSince Jul 21, 2023 Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Jun 2, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Oct 6, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Gwinnett Physician Group, LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Feb 1, 2013 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Dec 5, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince May 4, 2015 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 2, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Internal Medicine CurrentSince Dec 5, 2025 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients
Hamilton Physician Group Inc CurrentSince Oct 10, 2022 Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

550 Peachtree St NE
Ste 1285
Atlanta, GA 30308
Phone (404) 815-7951

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: obankole19660@hhcs.direct-ci.com
  • Direct secure messaging: obankole5117053@adventhealth.direct-ci.com

Organizations & group practices 45

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 45

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1487714911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PHARR COURT SOUTH NW",
            "address_2": "SUITE 2103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTHSIDE FORSYTH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417659",
            "telephone_number": "770-844-3200",
            "fax_number": "770-844-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKOLE",
        "first_name": "OLUFUNSHO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "058391",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "058391",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME159646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.